Dear Lactnet,
    I have been working with a mom and 2 week old baby with cleft lip and
palate.  He latches well and transfers a little (mom has oversupply that
landed her in hospital with mastitis and then yeast).  He does very well and
transfers well with the Haberman and began gaining weight by using it.  He
was discharged with a Mead Johnson squeeze bottle and was taking hours to
feed at home.
    Mom is on Diflucan and topical Nystatin.  Baby was already on Amoxicillan
for ear infection prior to her mastitis episode and now is having oral
Nystatin although no overt symptoms of thrush and remains on oral antibiotic.

    My question is:  Mom reports his breath "smells bad" and wondered if the
antibiotic in her milk was causing it.  I am inclined to think it is from the
sinuses or ear infection d/t the palatal cleft.   What do you all think the
origin could be?

TIA,
Jan Ellen Brown IBCLC
Charlotte, NC USA

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